What is meant by ‘utilization review’ in social work?

Utilization review refers to the systematic assessment of the necessity, appropriateness, and efficiency of healthcare services provided to clients. In the context of social work, this process involves examining whether the services being offered align with the clients' needs and whether they are delivered in a cost-effective manner. It aims to ensure that clients receive the right amount of care in a timely fashion and helps to prevent unnecessary interventions and expenditures.

This process typically involves evaluating various factors, including the clinical appropriateness of the interventions being used, compliance with guidelines, and overall outcomes of care. Utilization review plays a crucial role in maintaining high standards of practice and ensuring that resources are allocated effectively within the social service system.